22 February 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Susan Bellworthy on 22 February 2016. Overall the practice is rated as Requires Improvement.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
- Not all risks to patients were assessed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- Patients said that they were happy with the service provided, and praised the GPs and nurses. There were a small number of patients who raised concerns about their involvement with the GP during consultations.
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice sought feedback from staff and patients, which it acted on.
The areas where the provider must make improvement are:
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Risk assess the need for staff who act as a chaperone to have a DBS check
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Ensure appropriate recruitment checks are undertaken prior to employment.
The areas where the provider should make improvement are:
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Put in place suitable arrangements to track prescription stationery through the practice.
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Effectively manage any risks identified at the premises.
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Make available translation services.
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Provide safeguarding training to all relevant staff.
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Carry out an audit in relation to the prevalence of Coronary Heart Disease to establish the cause of this outlier.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice